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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar Sl , Everett, WA 98201 • 425-257-8810 - FAX 425-257-8857 - www.everettwa.3 b`' �� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />iITEADDRESS: FflOPERNTA%N P R� _ ' <br />. _ � � . t, P <br />_EGAL lor new consirutlion Snort Piatisubaivision Lot No _ (attach copY ol IonB IeBal descnpt�on) <br />DWNER � ; L�. '� • : �� i j �� .i _" _ � i ��-� PhoneiE-mad �-� � S - � � % - � � <br />4dEress �i / � � � � � / • '' f , Ciryl5latelLp r V C � <br />CONTRACTOR - ,1�..'� �.�\� L ; •. ) �i.�. LBILic A CC G I '�� .'� . V• �. � <br />aaa�ess ' t� ; ! � J ��..' ! ry .. S - � l nnone�ema�i °� ) 5 `� ) � � 5� <br />fENANT BUSINESS NA , CONTACT FOR PERMIT <br />���� c r•-'-c� �, �- � � � ,�.� l �, � <br />Phone� -�mai1 , <br />lf-�,�j �n <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK Sh'( �°` <br />[eisting Use ol �uilding _ HEAT SOURCE. <br />ProposeA Use of Building Gns Eiectnc a Otner_ <br />�uildi�g lype� _ Single Femily ,� Duplez _Townhouse _ Multi�Family _ Commerclal <br />�ype ol projecl. _ New _ Addi�lon � Remodel _ Repalr _ T.I. _ Sign _Sprinkler _Demoldion_Chenge of Use <br />Description of Work (ntld�nonal space n�o���ed on Me bactil :� n� I 1 r J i � ��� h �;/ �� � <br />r'' [. .. <br />Havo you staAod working wilhout n po�mil7 _YES +NO �� <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Type ol Pra�ect: _New _Atldn _Alte�n�lon _Repelr iypo ol ProJoct: _New _Addn �Alteretlon _Repelr <br />Show Num6er (a) ol Itriures Show Number (a) ol Onuree <br />� A�C - Air handhn UnitS I Toilet <br />'i Porced au s stems ! E3alhtub <br />� G25 pi in <br />� Levato �wash basn) <br />i Water heater _ � Shower <br />f3oiier <br />' Other Metl�cal Gas <br />SPRINKLER I SUPPRESSION SYSTEM I otner <br />� Number ol Neads � Olher <br />I L•ercUy rcibly in:A I liave rcaa nna r� n�n�retl Ihis Bpp��caiion nnd Vnow Ihe same to be Irue enel rorrec� �ti provigions ol Iawe Pnd ortlmances poveminq <br />D,�; tyVe o� wo�w wdi Le cnmpbea �snn nheP�ei epecifiea herein or not Tne y�anllnp ol n Dermit does nol presume lo B�ve euthomy lo vlolale or wncei <br />v��c p�ov�ron ol nny oViei ctote or iecai �aw iegulalmg conslrucLon or Ihe pedormnnce ol conslm<lion i�et 1 em authoriteE Uv Ne owner ol l�ie propeity <br />•. ��edorm Ihe worA lo� vMiUi npV��cabon is matle rnd I wmply wM Ine State Coniraclo�s 1 nw 1B P RCW BnC 2B8 P00 WAC <br />t � r-.r 6,��. I�crnti.•<<�i <br />� ' `' �� - I )— � <br />�� <br />Ownerl/luthmueA A9eirt Sinnalure Ua'e (RevrSed 7.�7011) <br />� <br />